Skip the Flexible Spending Account in 2011.

by Chris on October 18, 2010

in Health & Fitness,Personal Finance,Taxes

I didn’t have a FSA last year (Flexible Spending Account), but this year I was hell bent on saving as much money as possible on my taxes… so I thought I better take advantage of the option to put away some money tax free for inevitable health care costs.  I analyzed my previous year’s medical expenses and figured that $1000 would be a conservative estimate.  So I enrolled in the company  plan… I’ve participated this year… and I won’t be doing it again.

Here’s why:

1. Flexible Spending Accounts = Inflexible

You gotta use it or lose it.  You can’t roll money over from year to year — although your plan may provide a grace period at the beginning of the following year.  What’s the advantage of the tax savings if you don’t spend all the money?

Some plans offer a debit card which is an added convenience, but I’m not so lucky. That means that I have to collect and submit all of my receipts manually and in advance  and get reimbursed later. As convenient as it would be to have a debit card, there is still the inconvenience of having to submit receipts regardless.

I also have to make sure that I’m submitting the right receipt that includes the eligible services rendered.

Claims can’t be submitted online. They have to be faxed or mailed which is kind of old school.  In addition, the claim form is much more complicated than a standard expense report.

These accounts can only be used for certain health care expenses. Trying to decipher the guidelines and figure out if an expense is eligible is like reading a pharmacology textbook, something I would rather leave to med students.

2. Time is Money

It took me a good six months to figure out how to use my Flexible Spending Account. There’s been a significant time investment – setting up the account, researching how to file a claim, collecting and filing receipts,  preparing the claim forms, submitting the claim, going to the bank to cash the checks, resubmitting rejected expenses, etc.

I might happily endure the hassle and time investment mentioned above if there were a big payoff waiting on the finish line… so let’s analyze the benefits.

What am I going to save this year?  Say my taxes would be 35% or so on the money (including income and payroll taxes) and I’ve allocated $1000 for my account (close to the national average apparently).  That’s a paper savings of $350.  I’m embarrassed at how much time I’ve had to commit to the process however. I’ve probably spent 20 hours cogitating about the FSA and doing the work to prepare it…  no joke.  My free time is worth more than $17.50 per hour to me.

An FSA might make sense if you’ve got large recurring health or dependent care expenses.  However, the caps are going down in 2013 so you won’t be able to put aside more than $2500 for long.

3. Risk abounds

When you’ve considered that in my case a FSA doesn’t really make sense based on the time commitment and the potential rewards, it’s also unfortunate that there’s a potential risk if you don’t use all of your money… remember it’s use it or lose it. What if you don’t have any medical expenses for the year?  Well, then tough luck, you’re out however much you put it in.  It turns out that the average balance remaining in accounts is around $100, per the Employee Benefits Research Institute.  I’ve seen this play out — I remember my boss saying that he had to run to the drug store to load up on OTC medicine to use all the funds in his account.  He later complained that he still had money left over.

How has your experience been with FSA’s?

Thanks to Cash Money for including this post in the 280th Carnival of Personal Finance

{ 4 comments… read them below or add one }

Jim October 19, 2010 at 7:26 am

Sounds like your FSA provider needs to provide you with better resources (online training, an FSA card, etc). Take a quick look at my company’s site (www.24hourflex.com) as we try to eliminate many of the issues you experienced.

I’d love the chance to talk with your HR/Benefits department if you think our company could be of service to your fellow employees (I love mint.com by the way, awesome budgeting tool).

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Chris October 19, 2010 at 8:10 am

Yeah, there’s some truth to that. It’s the tension between what could be better about my plan and what could be better about FSA’s. I’d be happy to put you in touch with our HR folks but my assumption is that since I work for a megalith of a company that the decisions aren’t made locally.

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Caitlin October 19, 2010 at 10:00 am

It’s disappointing you had such a bad experience with your FSA provider; however, why discourage people from using the benefit when many people really like it and appreciate the tax savings? Just for an example, check out some of the positive FSA stories people uploaded to http://www.savemyflexplan.org when Congress was considering eliminating the accounts. Some of your readers are certainly in the same boat.

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Chris October 20, 2010 at 11:05 pm

I checked out that website and it appears to be funded by the Employers Council on Flexible Compensation, which is an industry trade group that explicitly states that its purpose is as follows:
“The Employers Council on Flexible Compensation (ECFC) is a non-profit organization dedicated to the maintenance and expansion of private employee benefit programs on a tax-advantaged basis. The organization has two driving missions. The first is to represent and promote flexible compensation programs through effective lobbying. The second is to provide information on flexible compensation programs to member, national opinion leaders and the general public to help create a positive climate for the growth of flexible compensation.”

I thought this Kaiser article did a great job talking through a slightly more nuanced view of FSAs:
http://www.kaiserhealthnews.org/Stories/2009/June/12/FSA.aspx

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